Erectile dysfunction (ED) is a prevalent yet underreported health concern among African men. Despite increasing recognition, cultural stigma, limited healthcare access, and socioeconomic disparities contribute to persistent underdiagnosis and undertreatment. This review synthesizes available evidence on the epidemiology, risk factors, diagnostic practices, treatment patterns, and psychosocial impact of ED in Africa, while highlighting cultural beliefs, barriers to care, and regional data gaps. Most published studies originate from North and South Africa, leaving Central and Sub-Saharan regions underrepresented. Addressing ED across the continent requires context-specific, multidisciplinary approaches that integrate medical, psychological, and culturally sensitive interventions. Strengthening local research capacity is essential to guide health policy and improve equitable access to care for men's sexual health.
Canadian Urological Association journal = Journal de l'Association des urologues du Canada. 2026 Jan 23 [Epub ahead of print]
Charles John Nhungo, George Elisamehe Mocha, Fransia Arda Mushi, Charles Anaeli Mkony
Department of Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada., Department of Surgery, Rabininsia Memorial Hospital, Dar es Salaam, Tanzania., Department of Surgery, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.